SHOULD THE TEETH IN THE LINE OF JAW FRACTURES BE EXTRACTED?

Abstract

Fractures in the jaw bones could present themselves differently according to the strength of the force and the bone’s ability to absorb the impact. The location and type of the fracture is important as well as the cause of the fracture (traffic accidents, melee trauma, pathologic changes). Pre-existing pathologic lesions, position of the teeth and the way they are affected by the fracture have a great influence on the prognosis. Whether to extract the teeth in the line of a fracture has always been controversial among dentists. While some researchers advocate that such teeth should be extracted to avoid complications, others believe that retaining these teeth would benefit the patient more. Most clinicians prefer to treat their patients depending on their own previous experiences. This article aims to establish a guideline on assessing whether to retain or extract the teeth in the fracture line.

Keywords

• Mandibular fracture; teeth in the line of fracture; healing complications

Kırık Hattındaki Dişler Çekilmeli mi?

Abstract

Çenelerde görülen kırıklar, kırığa sebep olan kuvvetin şiddetine ve kemiğin bu kuvveti ne kadar absorbe edebildiğine göre değişik tiplerde ortaya çıkabilmektedir. Kırığın yeri ve tipinin yanı sıra kırığa sebep olan olay da (trafik kazası, kavga, patolojik değişikler) önemlidir. Önceden varolan patolojik lezyonlar, dişlerin posizyonu ve kırıktan etkilenme şekilleri prognozu önemli derecede etkilemektedir. Kırık hattında kalan bu dişlerin çekilip çekilmemesi gerektiği diş hekimleri arasında her zaman tartışmalı bir konu olmuştur. Bazı araştırmacılar oluşabilecek komplikasyonları engellemek için dişlerin çekilmesi gerektiğini savunurken, bazıları ise bu dişleri ağızda bırakmanın hasta açısından daha yararlı olduğunu savunmaktadırlar. Ancak çoğu klinisyen tedavi planlamasını kendi geçmiş tecrübelerine dayanarak oluşturmaktadır. Bu makalenin amacı klinisyenlere yönelik kırık hattındaki dişlerin çekimi hakkında belli bir protokol oluşturmaktır

Keywords

• Mandibular kırık, kırık hattındaki dişler, iyileşme komplikasyonları

References

1. Patrocinio LG, Patrocinio JA, Borba BH, Bonatti
2. Bde S, Pinto LF, Vieira JV, Costa JM. Mandibular
3. fracture: analysis of 293 patients treated in
4. the Hospital of Clinics, Federal University
5. of Uberlandia. Braz J Otorhinolaryngol
6. ;71(5):560-565.
7. Metin M, Sener I, Tek M. Impacted teeth and
8. mandibular fracture. Eur J Dent 2007;1(1):18-20.

9. Thapliyal GK, Sinha R, Menon PS, Chakranarayan
10. A. Management of mandibular fractures. MJAFI
11. ;64(3):218-220.
12. Kamboozia AH, Punnia-Moorthy A. The fate
13. of teeth in mandibular fracture lines. A clinical
14. and radiographic follow-up study. Int J Oral
15. Maxillofac Surg 1993;22(2):97-101.
16. Rai S, Pradhan R. Tooth in the line of fracture:
17. its prognosis and its effects on healing. Indian J
18. Dent Res 2011;22(3):495-496.
19. Wolujevicz MA. Fractures of the mandible
20. involving the impacted third molar tooth:
21. an analysis of 47 cases. Br J Oral Surg
22. ;18(2):125-131.
23. Luz JG, Moraes RB, D’Ávila RP, Yamamoto
24. MK. Factors contributing to the surgical
25. retreatment of mandibular fractures. Braz Oral
26. Res 2013;27(3):258-265.
27. Chrcanovic BR. Factors influencing the incidence
28. of maxillofacial fractures. Oral Maxillofac Surg
29. ;16(1):3-17.
30. Chrcanovic BR. Teeth in the line of mandibular
31. fractures. Oral Maxillofac Surg 2014;18(1):7-24.
32. Chuong R, Donoff RB, Guralnick WC. A
33. retrospective analysis of 327 mandibular
34. fractures. J Oral Maxillofac Surg 1983;41(5):305-
35. -
36. Samson J, John R, Jayakumar S. Teeth in the line
37. of fracture: To retain or remove? Craniomaxillofac
38. Trauma Reconstr 2010;3(4):177-184.
39. Andreasen JO, Ahrensburg SS, Tsilingaridis G.
40. Root fractures: the influence of type of healing
41. and location of fracture on tooth survival rates
42. - an analysis of 492 cases. Dent Traumatol
43. ;28(5):404-409.
44. Malanchuk VO, Kopchak AV. Risk factors
45. for development of infection in patients with
46. mandibular fractures located in the tooth-bearing
47. area. J Craniomaxillofac Surg 2007;35(1):57-62.
48. Ellis E 3rd. Outcomes of patients with teeth in
49. the line of mandibular angle fractures treated
50. with stable internal fixation. J Oral Maxillofac
51. Surg 2002;60(8):863-865.
52. Bobrowski AN, Sonego CL, Chagas Junior
53. OL. Postoperative infection associated with
54. mandibular angle fracture treatment in the
55. presence of teeth on the fracture line: a systematic
56. review and meta-analysis. Int J Oral Maxillofac
57. Surg 2013;42(9):1041-1048.
58. Koenig WR, Olsson AB, Pensler JM. The fate
59. of developing teeth in facial trauma: tooth buds
60. in the line of mandibular fractures in children.
61. Ann Plast Surg 1994;32(5):503-505.
62. Berg S, Pape HD. Teeth in the fracture line. Int
63. J Oral Maxillofac Surg 1992;21(3): 145-146.
64. Spinnato G, Alberto PL. Teeth in the line of
65. mandibular fractures. Atlas Oral Maxillofac Surg
66. Clin North Am 2009;17(1):15-18.
67. Gerbino G, Tarello F, Fasolis M, De Gioanni
68. PP. Rigid fixation with teeth in the line of
69. mandibular fractures. Int J Oral Maxillofac Surg
70. ;26(3):182-186.
71. Iizuka T, Lindqvist C, Hallikainen D, Paukku
72. P. Infection after rigid internal fixation of
73. mandibular fractures: a clinical and radiologic
74. study. J Oral Maxillofac Surg 1991; 49(6):585-
75. -
76. de Amaratunga NA. The effect of teeth in the
77. line of mandibular fractures on healing. J Oral
78. Maxillofac Surg 1987;45(4):312-314.
79. Neal DC, Wagner WF, Alpert B. Morbidity
80. associated with teeth in the line of mandibular
81. fractures. J Oral Surg 1978;36(11):859-862.
82. Suei Y, Mallick PC, Nagasaki T, Taguchi A, Fujita
83. M, Tanimoto K. Radiographic evaluation of the
84. fate of developing tooth buds on the fracture line
85. of mandibular fractures. J Oral Maxillofac Surg
86. ;64(1):94-99.